Individual
GREGORY DEAN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 POLE LINE ROAD WEST, TWIN FALLS, ID 83301-5799
(208) 814-1000
(208) 814-0948
Mailing address
801 POLE LINE ROAD WEST, TWIN FALLS, ID 83301-5799
(208) 814-1000
(208) 814-0948
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA799A
ID
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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